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Definition and Characteristics of Hypertension Associated with Chronic Kidney Disease: Epidemiological Data

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Abstract

Chronic kidney disease (CKD) is one of the most common causes of secondary hypertension. The prevalence of hypertension is higher among patients with CKD than in general population, and its frequency increases progressively with the severity of CKD varying in different CKD causes including renal artery stenosis (93%), diabetic nephropathy (87%), and polycystic kidney disease (74%). The pathogenesis of hypertension associated with chronic kidney disease (CKD) is complex and multifactorial and can be associated with diabetic nephropathy, glomerulonephritis, nephropathy in the course of connective tissue disorders, vasculitis, pyelonephritis, and obstructive, analgesic, and reflux nephropathy as well as congenital diseases such as polycystic kidney. It is estimated that only 5–10% of all cases of hypertension is associated with secondary causes. The presence of secondary hypertension is suggested by sudden onset of hypertension, severe increase in blood pressure, and problems to lower blood pressure with the use of drug therapy.

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Acknowledgments

Three authors (AG-B, JR, MB) are (partially) supported by the Healthy Ageing Research Centre project (REGPOT-2012-2013-1, 7FP).

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Correspondence to Anna Gluba-Brzózka .

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Franczyk, B., Gluba-Brzózka, A., Banach, M., Rysz, J. (2017). Definition and Characteristics of Hypertension Associated with Chronic Kidney Disease: Epidemiological Data. In: Covic, A., Kanbay, M., Lerma, E. (eds) Resistant Hypertension in Chronic Kidney Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-56827-0_2

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  • DOI: https://doi.org/10.1007/978-3-319-56827-0_2

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